<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 364845573
Report Date: 11/17/2022
Date Signed: 11/17/2022 11:43:21 AM


Document Has Been Signed on 11/17/2022 11:43 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501



FACILITY NAME:THOMPKINS FAMILY CHILD CAREFACILITY NUMBER:
364845573
ADMINISTRATOR:THOMPKINS,LAWRANCE&SACHEFACILITY TYPE:
810
ADDRESS:TELEPHONE:
(909) 333-1759
CITY:FONTANASTATE: CAZIP CODE:
92336
CAPACITY:14CENSUS: DATE:
11/17/2022
TYPE OF VISIT:Case Management - OtherUNANNOUNCEDTIME BEGAN:
11:15 AM
MET WITH:Lawrence Thompkins Licensee TIME COMPLETED:
11:50 AM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Licensing Program Analyst (LPA) Diana Brasel conducted a Case Management visit on the above noted time and date. The purpose of the visit is to address information that was obtained. LPA met with the licensee to discuss the purpose of the visit. LPA conducted a census at time of visit.

In July of 2022, an incident occurred where two adults, who reside in the home, used inappropriate language within close proximity of children in care. The incident was verified by Interviews LPA conducted with pertinent parties and additional evidence obtained. Day-care children were in close proximity; however, none of the children interviewed disclosed hearing any inappropriate language from anyone. During the incident, there was no immediate health and safety concerns for the children care but there was a potential health and safety concern due to the language used.

LPA spoke with licensee, it was stated, they understand the situation could have been handled differently and procedures have been put into place to ensure a repeat incident does not occur. Per the Licensee additional training amongst the licensee's and assistants has taken place.

See LIC 809D for deficiency.

An exit interview was conducted with the Licensee, Lawrence Thompkins. A Notice of Site visit was issued and shall be posted in a prominent location at the facility. The licensees understand that it must remain posted for the next 30 days.

A copy of this report was provided to the licensee on this date and must be made available to the public upon request for the next 3 years
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Diana BraselTELEPHONE: 951-205-9491
LICENSING EVALUATOR SIGNATURE:
DATE: 11/17/2022
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/17/2022
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 2


Document Has Been Signed on 11/17/2022 11:43 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT (Cont)		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
CCLD Regional Office, 3737 MAIN ST., SUITE 700
RIVERSIDE, CA 92501


FACILITY NAME: THOMPKINS FAMILY CHILD CARE
FACILITY NUMBER: 364845573

DEFICIENCY INFORMATION FOR THIS PAGE:
VISIT DATE: 11/17/2022
Deficiency Type
POC Due Date /
Section Number
DEFICIENCIES
PLAN OF CORRECTIONS(POCs)
Type B
11/25/2022
Section Cited

1
2
3
4
5
6
7
102423 Personal Rights:
(a) Each child receiving services from a family child care home shall have certain rights that shall not be waived or abridged by the licensee regardless of consent or authorization from the child's authorized representative.
8
9
10
11
12
13
14
These rights include, but are not limited to, the following:
(1) To be treated with dignity in his/her personal relationship with staff and other persons.
8
9
10
11
12
13
14

1
2
3
4
5
6
7

1
2
3
4
5
6
7
Failure to correct the cited deficiency(ies), on or before the Plan of Correction (POC) due date, may result in a civil penalty assessment.
SUPERVISOR'S NAME: Gilbert SenaTELEPHONE: (951) 782-4844
LICENSING EVALUATOR NAME: Diana BraselTELEPHONE: 951-205-9491
LICENSING EVALUATOR SIGNATURE:
DATE: 11/17/2022
I acknowledge receipt of this form and understand my appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE:
DATE: 11/17/2022
LIC809 (FAS) - (06/04)
Page: 2 of 2